Organization
ANGELES DE AMOR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISANKYS LAZO (OWNER)
(305) 387-0687
Entity
Organization
Contact information
Practice address
11310 SW 145TH AVE, MIAMI, FL 33186-6675
(305) 387-0687
(786) 227-6963
Mailing address
11310 SW 145TH AVE, MIAMI, FL 33186-6675
(305) 387-0687
(786) 227-6963
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11244
AHCA
FL
Enumeration date
12/01/2022
Last updated
12/01/2022
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